Individual
MISS CHARMEKA PATRICE PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23880 ALBERTON RD, EUCLID, OH 44123-2420
(216) 240-5842
Mailing address
3621 LONGWOOD AVE, CLEVELAND, OH 44115-3341
(216) 673-4311
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
TQ249369
OH
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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